Kathleen Mary Cates-Richardson, MA
Individual provider Active NPI Marriage & Family Therapist · Marion, IA
NPI 1104062298 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1104062298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000370 (IA)
- Practice address
- PO Box 11
Marion, IA 52302-0011 - Phone
- (319) 693-2170
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1535 E Colorado St
Glendale, CA 91205-1513
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251110001623 | AZ | Practitioner - Marriage and Family Therapist | 1355831132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000370 | IA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Community Healthcare Center | Current |
Accepting new patients | |
| Tri-State Community Healthcare Center | Current |
Accepting new patients |
Locations
8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000370 | IA | Yes |
Addresses
Primary practice location
PO Box 11
Marion, IA 52302-0011
Mailing address
PO Box 11
Marion, IA 52302-0011
Phone (319) 693-2170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000370 | Other | IA | STATE OF IOWA LICENSE |
Other providers in Marion, IA
- Kyler Campie
- Care Chiropractic, P.C.
- Darwin Carstensen
- Carli Marie Carter
- Kelsey Castek
- Elliot Taylor Che
- Andrea Kay Childs
- Gwendoline Chofong
- David Christensen
- Jacob Dustin Christenson
All providers in Marion, IA · Marriage & Family Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.